AMY VAN DE WIELLE – Family Nurse Practitioner, NPI 1144953902
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for AMY VAN DE WIELLE
2214 FOXFIRE DR
SOUTH BEND, IN 466284062
Phone: (574) 300-4628
Type: Mailing
55432 COLBY ST
DOWAGIAC, MI 490478701
Phone: (269) 782-7828
Type: Location
303 S NAPPANEE ST
ELKHART, IN 465142066
Phone: (574) 296-3200
Type: Location
PO BOX 39491
BELFAST, ME 049151248
Phone: (574) 296-3200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $999.
Total Amount is formed as General ($999) + Research ($0) + Ownership ($0) = $999.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($270).
Total Amount
$999
General + Research + Ownership
Payments
50
Total payment records
General Amount
$999
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $270 |
| Janssen Biotech, Inc. | $145 |
| Medical Device Business Services, Inc. | $98 |
| Ardelyx, Inc. | $78 |
| AIMMUNE THERAPEUTICS, INC. | $73 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221208002244 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 111 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 101 | 30 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 48 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 39 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 26 | 26 | $0 |
Insurance plans in this area (ZIP 46628)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Internal Medicine | IN | |
| Pain Management | IN | |
| Nurse Practitioner | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| P O D I A T R Y | IN | |
| Nurse Practitioner | IN | |
| Qualified Audiologist | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| - | IN |
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